MEETING SUMMARY January 20, 2017 Amanda … Meeting 1... · Amanda Gregg City and County of Denver Anne Gross Arapahoe County ... Vivian Stovall At Large Guests ... (Intern), Lauren

1

ADVISORY COMMITTEE ON AGING MEETING SUMMARY

January 20, 2017 Members Present

Ada Anderson Douglas County Amanda Gregg City and County of Denver Anne Gross Arapahoe County Barbara Boyer Arapahoe County Bob Lanky Jefferson County Bob Davis Broomfield County Cary Johnson Jefferson County Cathy Noon Arapahoe County Donna Mullins Jefferson County Joyce Gallagher Guest for Adams County, Houston “Tex” Elam At Large Karie Erickson Douglas County Linda Tate Broomfield County Mary Ellen Makosky Gilpin County Maureen Spiegleman Denver County on Aging Phil Cernanec DRCOG Board (City of Littleton) Shakti Lakewood Tricia Stevens Congress Woman Diana DeGette's Office Vivian Stovall At Large Guests Present

Christine Kellerman – Jewish Family Services (Intern), Lauren Bell –Denver Office on Aging (Intern), Valerie Robson – Douglas County Adult Services, Paulette St. James – Colorado Commission on Aging

Others Present

Jayla Sanchez-Warren, AJ Diamontopoulos, Sharon Day, Kelly Roberts, Amy Pulley, Mindy Patton

Call to Order and Introductions

Phil Cernanec, Chair called the meeting to order @ 12:00 p.m.

Public Comment

No public comment.

Approval of the June 17, 2016 Meeting Summary

Barbara Boyer made the motion to accept the summaries. Bob Lanky seconded, summaries were approved.

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Informational Briefings

Arapahoe County Report – Barbara Boyer

Arapahoe County Council on Aging (ACCOA) meets monthly on the fourth Monday of the month at 1:00 p.m.

Barbara handed out 2 brochures which are attached

- ACCOA – outlining mission, background, goals and objectives, membership and meeting information.

- Speakers’ Bureau

January will have lunch with elected officials

June partner with Adams County and Byers for a joint meeting to address issues in rural areas

Have a new website with their information and calendar.

December do a holiday gift giving for seniors where adult protective services provide a wish list and all seniors on the list receive a gift. In Strasburg collect food and donate to their food bank.

The Speakers Bureau provide various talks that relate to seniors providing socialization and interaction.

Centennial Lyft Pilot Program – Cathy Noon

Cathy had a presentation which is attached.

Received Bloomberg Philanthropies grant

Were 1 of 14 selected

Ride covers the first and last mile to and from the light rail

- Call -n- Ride is free to client if they have a Light Rail ticket or bus ticket - RTD pays $21 one way

Partnership with Lyft

- Have a “Go Denver” app - Concierge service if not tech savvy - Cost of Lyft ride ranges from $4.50 to $5.50 per one way ride and is paid by Centennial

Contracted with VIA for accessible vehicles with ramps and trained drivers to accommodate disabled

Developed a mobility ambassador program

Provides peer transportation training with Centennial Senior Commission9 seniors that live in the city plus professionals and county experience

3

Cathy attended several trainings and found seniors were excited with having their freedom

Cathy hopes this will be pivoting to other projects for seniors as the Bloomberg grant only allows for 3 years but can’t work on the same project.

Jayla would like to think about a voucher program like this and was glad Centennial provided the resource.

ACA Committee Update – Kelly Roberts and Mindy Patton

Kelly explained the workshop the committee participated with in May to the new members

There were 3 focus points established at the workshop

- Program Committee What to do differently with the ACA monthly meeting Will see some changes in the February meeting Focus on one program at each meeting that will be a more in-depth report than

previously - Advocacy Committee discussed later in the meeting - Onboarding Committee

Found a need to educate new members and new AAA staff - Had a meeting of some new staff and new members and saw a big contrast with how

new AAA staff and new ACA members felt coming onboard Staff felt very welcome, ACA members felt very confused

- Realized there were simple things we could do to make members feel welcome. Such as where to park, who the Chair is, where the restrooms are located and expectations upon arrival

- Will be developing new material Mindy provided a staff list, ACA member list, staff flowchart and acronym list as a

starting point Kelly and Mindy will develop more comprehensive material in the future Kelly passed out a signup sheet to let allow the group a choice in how they would like

to receive their new materials in the future.

Legislative and Advocacy Report – Rich Mauro and Advocacy Team

Advocacy

More involvement by the ACA

Tex explained that one of the needs is to have people supporting issues with the legislators

- Develop a way to help ACA become effective advocates - Advocacy committee will work hard to be sure it works

Shakti told the group that the AAAs and CCOAs can be a loud voice to have needs heard and met.

- Serve as a connection between DRCOG and the counties

4

- DRCOG has staff and lobbyists at the Capital all the time, they understand who to talk to, how to talk and when to talk to staff about what is happening

- Counties have more people with voices to the table and feet on the ground to get the message out

- Can speak with a strong voice - Would like to get on CCOAs agendas to see what would be helpful and listen to their

needs and what they are doing - The Advocacy team would like to be prepared and organized to push on an issue when

it comes up - The goal is to build capacity and coordination with the AAAs and the CCOAs. - Jayla brought up that Douglas County would be willing to host a regional forum to get the

CCOAs together at one time.

Carey spoke about establishing an ongoing relationship with legislators

- Have regular forums to meet legislators - Invite representatives and commissioners to inform them of senior issues and how

counties can help - Phil suggested getting to know city officials as well for possible crossover issues - Jayla also suggested getting to know your counties ACA representatives and invite them

as well. They hear information at the ACA meetings and can get local officials onboard.

Rich Mauro DRCOG in house lobbyist said legislators will listen to the people in their jurisdictions

Legislative Report

HB-1087, pilot project for Office of Guardianship persons who don’t have someone close to them to make decisions for them what will happen to them

- Are creating pilot projects in three areas of the state and will come back in a couple of years to see if the projects are working.

- Network of Care will have access to all Bills and all reiterations, Colorado Senior Lobby is also a good resource (www.ColoradoSeniorLobby.org)

SB-011, Study Transportation Access for People with Disabilities. How can advanced technologies improve and increase access for people with disabilities?

- PACE Ombudsman Bill: Need to create an Ombudsman program that will have a state Ombudsman.

- The PACE program is operated by a for-profit company, there is a real need to create a state Ombudsman program to oversee compliance.

- Jayla, Shannon and Rich are working with Disability Law Center on the bill.

- Jayla explained to the group that the PACE program is where you turnover all your Medicare and Medicaid dollars to a for-profit company and they manage it for you.

- Phil told the group that the JBC is dealing with Medicaid expansion at the state level and we need to pay attention to what that will be doing at the state level.

5

- Attainable housing and construction litigation reform bring large insurers back to reduce costs of multi-family housing. Slowing down housing development in state.

- Rich talked about the homestead issue which allows seniors over 65 that have lived in their property for over 10 years to receive a reduction in tax on the first $200,000.

- The Gallagher Amendment holds the proportion of property taxes between residential and commercial properties at a 55% to 45% ratio, this makes residential property values grow faster than commercial property creating a tax shortfall

- This shortfall may reduce the amount received by seniors by half - Due to elder population growth for those who would receive funds there are estimated

shortfalls of $144M this year, $156M next year and $300M in the year 2030. - Though this tax refund is popular it makes it very hard for money to go to other senior

funding sources because they think seniors get so much funding already. - That money would serve other programs better such as Meals on Wheels and

transportation - Carey said that seniors are being looked at to fix the budget shortfalls of the state. - Kelly will send an email out to ACA asking for your point of contact in your county for

legislative issues. She will explore a regional forum and asked for more participants on the Advocacy committee.

Director’s Report – Jayla Sanchez-Warren Jayla provided a PowerPoint (attached) on the following information:

DRCOG AAA area extends from just past Brighton on the north, Castle Rock to the south, Georgetown on the west and Deer Trail east.

The first several slides provided information on the AAA program, purpose and requirements under the OAA and the State Funds for Senior Services. She provided service categories and contracting partners.

Slide 11- showed services offered by the AAA

- ADRC – Aging and Disability Resource Center Information and assistance Options counseling Case management

- Intensive non-medical case management Short term under 1 year Working with people in desperate situations and have added Spanish speaking case

managers - Elder Refugee program - Long-term Care Ombudsman Program

388 assisted living facilities 98 nursing homes Ombudsman are to protect the rights of people in nursing homes and assisted living

facilities Must visit each nursing home monthly and assisted living facilities quarterly unless

there is a complaint

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Must investigate any complaint within 72 hours, if a serious complaint within 24 hours Must have all their documentation completed within 30 days

- Transition services Veterans Direct program, helps veterans stay in home and supports caregivers with

dignity Transition people from nursing homes out to the community, contracted through

HCPF Transition patients from hospital to facilities

- Contract management Must have monthly reports from contractors Ensure contract funds are spent according to contract and following OAA

- Regional planning Data gathering, analysis, mapping, resource development all help to show where

shortfalls are and provide proof - Regional coordination and collaboration

Boomer Bond, which is an agreement allowing DRCOG to help prepare local governments for the aging population

- Fall prevention, with master trainers

The AAA works closely with state and local agencies

- HCPF, Department of Health and Human Services, Department of Regulatory Agencies (DORA), Department of Local Affairs (DOLA) and CDOT.

All mandatory reporters of elder abuse, except for the Ombudsman, who have a federal requirement to protect the confidentiality of residents. If an Ombudsman an instance of abuse they are required to call a supervisor; supervisor contacts the state ombudsman and DRCOG attorney; they make the decision if we violate the OAA requirements.

Slide 14 through Slide 16 - population statistics

Growth will affect every aspect of life, in workforce, tax base, service delivery, transportation even in designing parks. Our job is to pass this information to the governments and DRCOG Board to make them think because aging is the new normal.

Slide 17- Daily Living Problems

Losing ground on affordable transportation, enough food to eat and suitable housing.

Slide 18 – Community conversations

This slide shows the results of community conversations Jayla had with counties. Does not include nursing homes if so they would be at the top of the list. Those that have used an ombudsman know their value.

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Slides 19 through 20 – Boomer Bond

Boomer Bond helps local governments to engage with the public, begin strategy for the future and provides tool. Currently we have 11 communities that have gone through Boomer Bond.

Slide 22 – Special Projects

AAA is finalist for the Accountable Health Communities Grant.

- 3 clinical partners, 3 behavioral health programs along with several community partners. - Will help us work together and show what the AAAs should be doing on a regional letter - The grant will serve all ages and will expand our services - Teach us a lot, this has never been done before

Expanding services to the Latino community which are the next big age wave

- Working with the Rose Foundation, Latino Age Wave and others to do this better

2019 Reauthorization of OAA

UC Health project to work with hospitals to help them learn what happens to patients after they leave hospital.

- We can help them manage their chronic diseases to have better healthcare outcomes, lower utilization thus lowering healthcare costs saving taxpayer dollars.

VTCLI veterans’ transportation grant

- We have been asked by CDOT to take over this program from DRMAC. We will receive money to help transportation systems.

Slide 24 – Advocacy

Federal mandate to advocate for seniors and caregivers

Jayla has been asked to work on the national work group for the Reauthorization of the OAA in 2019

The map shows current map of OAA funding formula

- Red – Less $ received - Green – More $ received - Yellow – Neutral

The formula penalizes states that have a fast growing population like Colorado

Colorado is the 3rd fastest growing population in the nation may takeover 2nd place this year

Met with legislators and were able to get more dollars for seniors

- Because our programs are so small they make them easy to cut

Federal advocacy

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- Jayla explained that Paul Ryan is pushing for Medicare/Medicaid and Social Security to be a voucher program. A person would be provided with a certain amount of money and would then purchase their own Medicare through private market.

- Currently we have a guarantee payment for hospital, doctor visits, and prescriptions. - The fear is you will not be denied by the insurance company but they would put you into

categories according to how chronic your disease is or if you are a high user of medical services is so you will have a higher premium.

State Advocacy

- More money for Ombudsman - Jayla has to use a large amount of Part B funds to supplement the Ombudsman

program - If more money is allotted to the Ombudsman program those funds could go to other

resources such as transportation and nutrition.

General advocacy

- We pushed SRC to raise driver salaries - They had 5 vans that were not in use due to shortage of drivers - In a meeting with SRC they admitted they got a whole new level of candidate by raising

salaries - Now operating 26 routes - Because SRC raised rates that forced VIA to raise their rates along with other smaller

companies and RTD raised rates from $12.50 per hour to $15.00.

We need to watch and make our voice heard no matter whether you are a Democrat or Republican.

Slide 26 – ACA

Represent needs of 60 and over population

Advocate for people in your community and regionally

Assist with assessing strengths and needs of your community, planning, priorities and funding

Become and remain educated on aging issues

Serve as ambassadors to the community and county councils on aging

- Introduce yourself let people know you are on the ACA - Phil wanted the committee to make this an action item for the group to do this more

effectively.

Compliance and Finance Report – Sharon Day

Rolled out RFP for contracted services beginning July 1, 2017 to June 30, 2019

All existing contractors submitted proposals with approximately a dozen new contractors

ACAFS will begin to meet January 31st to discuss RFPs and make recommendations

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Collected surveys to see what the needs are in service areas

At halfway point in this contract year

- Delivered 839 units of service - 14,500 registered unduplicated clients - Waitlist is at 824 for December

Will need to amend some contracts to accommodate salary increases

Fund spending is on track for the 1st half of year at 50%

Contractor meeting on January 24th all ACA is invited to attend, Jim Riesberg will be speaking

State audit conducted in November and December, Sharon will submit final responses today and report back next meeting.

No internal issues and only minor contractor issues that are easily resolved

Chair Report – Phil Cernanec

Become familiar with issues out in your communities

Be aware of conflicts to what we want to accomplish

Recognize that the percentages Jayla mentioned in her slides are on top of other percentages

Need to talk about our return on investment

See the SAPGA report

DRCOG passed Metro Vision report is available on the DRCOG website

Nurture a succession plan for others to follow you

Information Sharing

No information to share.

Adjournment

Meeting adjourned 3:01 p.m.

Click to edit Master title styleClick to edit Master title style

Presented by:

Jayla Sanchez-Warren

Everything you need to know

about the Area Agency on Aging

Area Agency on Aging

Click to edit Master title styleClick to edit Master title styleArea Agency on Aging: The basics

• Federally mandated program

• Authority and funding through Older Americans Act and Older Coloradoans Act

• 630 area agencies on aging nationwide

• 16 area agencies on aging in Colorado

Click to edit Master title styleClick to edit Master title styleRequirements of the AAA

• Administer the requirements of the Older Americans’ Act (OAA) and the State Funds for Senior Services (Older Coloradoans Act)

• Identify needs of older adults. Target services to those in most need.• Operate the LTC Ombudsman Program• Support direct service providers and help build capacity and provide

oversight of contracted service providers• Data collection, performance evaluations and monitoring• Provide leadership and advocacy for older adults• Provide Outreach, Coordination and Planning• Emergency Preparedness/Disaster Relief• Establish and maintain an Area Agency on Aging Advisory Council • Program Development • Conduct an Area Plan on Aging and complete all reporting requirements of

the OAA, SFSS, State Unit on Aging Policies and Procedures

Click to edit Master title styleClick to edit Master title styleArea Agency on Aging: Purpose

• Help people age better

• Support people to stay in their homes for as long as they want

• Provide quality information, assistance and service

• Support caregivers

• Advocate for older adults, their needs

• Plan for future needs

Click to edit Master title styleClick to edit Master title styleArea Agency on Aging: Roles


SERVICE

Community Based

Direct

Advocacy

Click to edit Master title styleClick to edit Master title styleFunded service categories

• Transportation• Nutrition• In-home care • In-home assistance• Yard work • Caregiver support• Legal• Respite• Grandparent support• Benefits counseling

Funded service categories

Click to edit Master title styleClick to edit Master title styleFunded service categoriesFunded service categories (continued)

• Meal preparation• Fall prevention• Chronic disease self-management • Health promotion• Education• Services for the blind and visually

impaired• Home repair or modification• Hearing aids and glasses • Mental health service • Native American services

Click to edit Master title styleClick to edit Master title styleFunded service categoriesFunded partners

• Adams County Community Development

• Alzheimer’s Association

• American Council of the Blind and Visually Impaired

• Asian Pacific Development Center

• Arapahoe County Community Resources

• Audio Information Network of Colorado

• Brothers Redevelopment

• Catholic Charities• Center for People with

Disabilities• Centura Health LINKS• City and County of

Broomfield• Colorado Center for

the Blind• Colorado

Gerontological Society

Click to edit Master title styleClick to edit Master title styleFunded service categoriesFunded partners (continued)

• Colorado Legal Services

• Colorado Visiting Nurse Association

• Douglas County Human Services

• HealthSET• Jefferson County

Mental Health• Jewish Family

Services of Colorado• Lutheran Family

Services Rocky Mountains

• Mt. Evans Home Health Care and Hospice

• The Senior Hub• Seniors’ Resource

Center• Senior Support

Services• Southwest

Improvement Council• Tri-County Health

Department• Volunteers of

America

Click to edit Master title styleClick to edit Master title styleServices offered by the AAA

Aging and Disability Resource

Center• Information

and Assistance

•Options Counseling

•Case Management

Intensive Non-Medicaid

Case Management • Spanish Speaking

Case Management

Transition Services• Veterans Directed HCBS• Nursing home to Community• Hospital transitions

Long-term Care Ombudsman

Program

Elder Refugee Services

Contract Management

Regional Planning• Data gathering • Analysis • Mapping

Fall Prevention

Regional Coordination and Collaboration

• Boomer Bond • Advisory Committee on

Aging

Advocacy



PLANNINGPreparing for an older populationIndentifying needsDeveloping resources

Click to edit Master title styleClick to edit Master title style60-plus population (2014 – 2024)

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2024

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DRCOG Region

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45.8%

52

.9%

45

.5%

48

.3%

57

.2%

25

.6%

28

.7%

77

.6%

37

.5%

41

.1%


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DRCOGRegion

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64.5%

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.4%

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.5%

70

.1%

63

%

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%

41

.6%

12

8%

15

6.4

%

60

.3%

Click to edit Master title styleClick to edit Master title styleAging: The new normal

41.5%35.0% 33.4% 36.6% 33.7% 27.8% 28.7% 33.4%

21.6%

120.1%

231.1%

0%

50%

100%

150%

200%

250%Projected Rates of Growth (2010-2050)

by Age Group in the U.S.

Click to edit Master title styleClick to edit Master title styleDaily living problems

0% 5% 10% 15% 20% 25% 30%

Suitable housing

Enough food to eat

Safe and affordabletransportation

2015

2010

More Denver area older adults than the national average reported problems with having housing to suit their needs

Percent at least a "minor" problem

Click to edit Master title styleClick to edit Master title styleFunded service categoriesCommunity conversations

Priority Service Votes

1 Transportation 298

2 In-Home Service 269

3 Home Repair/Chore Service 187

4 Nutrition Service 185

5 Information and Assistance 158

6 Caregiver Support 142

7 Material Aid 129

8 Care Management 122

9 Counseling/Mental Health 113

10 Outreach/ Public Information 107

11 Ombudsman/Elder Abuse Prevention 98

12 Health Promotion/Education 87

13 Screen and Evaluation 65

Click to edit Master title styleClick to edit Master title styleBoomer Bond: Key elements

• Community assessment tool to facilitate local dialogue and identify age-friendly/livable community priorities

• A readily-accessible inventory of policies, strategies and tools for local governments to consider

Click to edit Master title styleClick to edit Master title styleBoomer Bond: Why an assessment tool?

• Conversation starter at the local level (including partners)

• Provide structure to what can be an overwhelming conversation

• Help engage the general public

Click to edit Master title styleClick to edit Master title styleBoomer Bond: Assessment communities (11)

Click to edit Master title styleClick to edit Master title styleSpecial projects

• Finalist for the Accountable Health Communities Grant with Centers for Medicare and Medicaid Services

• Data analysis of community-based services

• Expanding services to the Latino community

• 2019 Reauthorization of the Older Americans Act

• UC Health project• VTCLI transportation grant for

Veterans


ADVOCACYOlder Americans ActState Funding Regulation

Click to edit Master title styleClick to edit Master title styleAdvocacy in 2017

Federal Advocacy • Reauthorization of Older American’s Act • Medicare, Medicaid and Social Security• Transportation if there is an opportunity

State Advocacy• Legislative Advocacy

• PACE Ombudsman Program• Increase Resources for AAA programs• Ombudsman Program • Elder Refugee Program

• General Advocacy • Affordable Senior Housing • Transportation • Federal Issues


Advisory Committee on Aging

Click to edit Master title styleClick to edit Master title styleResponsibilities of the Advisory Committee on

Aging

• Represent the needs of persons age 60 and older, with emphasis on the needs of those persons in greatest social or economic need.

• Advocate for the enhancement and well being of the region’s older adults and their caregivers

• Assist in assessing the strengths and needs of older adults and their caregivers.

• Assist with the Area Plan on Aging• Assist developing planning priorities, policy and procedures and

funding and make recommendations concerning the same to the DRCOG Board of Directors

• Become and remain educated on issues concerning aging and their caregivers

• Serve as ambassador to the community and County Councils on Aging by communicating the purpose, responsibility and functions of the ACA


HOW CAN YOU USE

THE AAA

• Demographics• Needs assessment

information• Boomer Bond

• Service information• Referral source for

constituents • Personal service

Click to edit Master title styleClick to edit Master title styleFunded service categoriesArea Agency on Aging: A one-stop shop

• Individualized service • Access to top professionals• Reliable information• Quality presentations• Current information• Accurate data • Planning and Vision


QUESTIONS?


Presented by:


Everything you need to know

about the Area Agency on Aging

Area Agency on Aging

Click to edit Master title styleClick to edit Master title styleArea Agency on Aging: The basics

• Federally mandated program

• Authority and funding through Older Americans Act and Older Coloradoans Act

• 630 area agencies on aging nationwide

• 16 area agencies on aging in Colorado

Click to edit Master title styleClick to edit Master title styleRequirements of the AAA

• Administer the requirements of the Older Americans’ Act (OAA) and the State Funds for Senior Services (Older Coloradoans Act)

• Identify needs of older adults. Target services to those in most need.• Operate the LTC Ombudsman Program• Support direct service providers and help build capacity and provide

oversight of contracted service providers• Data collection, performance evaluations and monitoring• Provide leadership and advocacy for older adults• Provide Outreach, Coordination and Planning• Emergency Preparedness/Disaster Relief• Establish and maintain an Area Agency on Aging Advisory Council • Program Development • Conduct an Area Plan on Aging and complete all reporting requirements of

the OAA, SFSS, State Unit on Aging Policies and Procedures

Click to edit Master title styleClick to edit Master title styleArea Agency on Aging: Purpose

• Help people age better

• Support people to stay in their homes for as long as they want

• Provide quality information, assistance and service

• Support caregivers

• Advocate for older adults, their needs

• Plan for future needs

Click to edit Master title styleClick to edit Master title styleArea Agency on Aging: Roles


SERVICE

Community Based

Direct

Advocacy

Click to edit Master title styleClick to edit Master title styleFunded service categories

• Transportation• Nutrition• In-home care • In-home assistance• Yard work • Caregiver support• Legal• Respite• Grandparent support• Benefits counseling

Funded service categories

Click to edit Master title styleClick to edit Master title styleFunded service categoriesFunded service categories (continued)

• Meal preparation• Fall prevention• Chronic disease self-management • Health promotion• Education• Services for the blind and visually

impaired• Home repair or modification• Hearing aids and glasses • Mental health service • Native American services

Click to edit Master title styleClick to edit Master title styleFunded service categoriesFunded partners

• Adams County Community Development

• Alzheimer’s Association

• American Council of the Blind and Visually Impaired

• Asian Pacific Development Center

• Arapahoe County Community Resources

• Audio Information Network of Colorado

• Brothers Redevelopment

• Catholic Charities• Center for People with

Disabilities• Centura Health LINKS• City and County of

Broomfield• Colorado Center for

the Blind• Colorado

Gerontological Society

Click to edit Master title styleClick to edit Master title styleFunded service categoriesFunded partners (continued)

• Colorado Legal Services

• Colorado Visiting Nurse Association

• Douglas County Human Services

• HealthSET• Jefferson County

Mental Health• Jewish Family

Services of Colorado• Lutheran Family

Services Rocky Mountains

• Mt. Evans Home Health Care and Hospice

• The Senior Hub• Seniors’ Resource

Center• Senior Support

Services• Southwest

Improvement Council• Tri-County Health

Department• Volunteers of

America

Click to edit Master title styleClick to edit Master title styleServices offered by the AAA

Aging and Disability Resource

Center• Information

and Assistance

•Options Counseling

•Case Management

Intensive Non-Medicaid

Case Management • Spanish Speaking

Case Management

Transition Services• Veterans Directed HCBS• Nursing home to Community• Hospital transitions

Long-term Care Ombudsman

Program

Elder Refugee Services

Contract Management

Regional Planning• Data gathering • Analysis • Mapping

Fall Prevention

Regional Coordination and Collaboration

• Boomer Bond • Advisory Committee on

Aging

Advocacy



PLANNINGPreparing for an older populationIndentifying needsDeveloping resources


0

20

40

60

80

100

120

140

160

180

200

Po

pu

lati

on

(Th

ou

san

ds)

County

2014

2024

-

100

200

300

400

500

600

700

800

DRCOG Region

Po

pu

lati

on

(Th

ou

san

ds)

45.8%

52

.9%

45

.5%

48

.3%

57

.2%

25

.6%

28

.7%

77

.6%

37

.5%

41

.1%


0

10

20

30

40

50

60

Po

pu

lati

on

(Th

ou

san

ds)

County

2014

2024

-

50

100

150

200

250

DRCOGRegion

Po

pu

lati

on

(Th

ou

san

ds)

64.5%

67

.4%

68

.5%

70

.1%

63

%

10

0.5

%

41

.6%

12

8%

15

6.4

%

60

.3%

Click to edit Master title styleClick to edit Master title styleAging: The new normal

41.5%35.0% 33.4% 36.6% 33.7% 27.8% 28.7% 33.4%

21.6%

120.1%

231.1%

0%

50%

100%

150%

200%

250%Projected Rates of Growth (2010-2050)

by Age Group in the U.S.

Click to edit Master title styleClick to edit Master title styleDaily living problems

0% 5% 10% 15% 20% 25% 30%

Suitable housing

Enough food to eat

Safe and affordabletransportation

2015

2010

More Denver area older adults than the national average reported problems with having housing to suit their needs

Percent at least a "minor" problem

Click to edit Master title styleClick to edit Master title styleFunded service categoriesCommunity conversations

Priority Service Votes

1 Transportation 298

2 In-Home Service 269

3 Home Repair/Chore Service 187

4 Nutrition Service 185

5 Information and Assistance 158

6 Caregiver Support 142

7 Material Aid 129

8 Care Management 122

9 Counseling/Mental Health 113

10 Outreach/ Public Information 107

11 Ombudsman/Elder Abuse Prevention 98

12 Health Promotion/Education 87

13 Screen and Evaluation 65

Click to edit Master title styleClick to edit Master title styleBoomer Bond: Key elements

• Community assessment tool to facilitate local dialogue and identify age-friendly/livable community priorities

• A readily-accessible inventory of policies, strategies and tools for local governments to consider

Click to edit Master title styleClick to edit Master title styleBoomer Bond: Why an assessment tool?

• Conversation starter at the local level (including partners)

• Provide structure to what can be an overwhelming conversation

• Help engage the general public

Click to edit Master title styleClick to edit Master title styleBoomer Bond: Assessment communities (11)

Click to edit Master title styleClick to edit Master title styleSpecial projects

• Finalist for the Accountable Health Communities Grant with Centers for Medicare and Medicaid Services

• Data analysis of community-based services

• Expanding services to the Latino community

• 2019 Reauthorization of the Older Americans Act

• UC Health project• VTCLI transportation grant for

Veterans


ADVOCACYOlder Americans ActState Funding Regulation

Click to edit Master title styleClick to edit Master title styleAdvocacy in 2017

Federal Advocacy • Reauthorization of Older American’s Act • Medicare, Medicaid and Social Security• Transportation if there is an opportunity

State Advocacy• Legislative Advocacy

• PACE Ombudsman Program• Increase Resources for AAA programs• Ombudsman Program • Elder Refugee Program

• General Advocacy • Affordable Senior Housing • Transportation • Federal Issues


Advisory Committee on Aging

Click to edit Master title styleClick to edit Master title styleResponsibilities of the Advisory Committee on

Aging

• Represent the needs of persons age 60 and older, with emphasis on the needs of those persons in greatest social or economic need.

• Advocate for the enhancement and well being of the region’s older adults and their caregivers

• Assist in assessing the strengths and needs of older adults and their caregivers.

• Assist with the Area Plan on Aging• Assist developing planning priorities, policy and procedures and

funding and make recommendations concerning the same to the DRCOG Board of Directors

• Become and remain educated on issues concerning aging and their caregivers

• Serve as ambassador to the community and County Councils on Aging by communicating the purpose, responsibility and functions of the ACA


HOW CAN YOU USE

THE AAA

• Demographics• Needs assessment

information• Boomer Bond

• Service information• Referral source for

constituents • Personal service

Click to edit Master title styleClick to edit Master title styleFunded service categoriesArea Agency on Aging: A one-stop shop

• Individualized service • Access to top professionals• Reliable information• Quality presentations• Current information• Accurate data • Planning and Vision


QUESTIONS?

1 | P a g e

ACA Contact List January 18, 2017

Ada Anderson Member Sr. Council 7747 Edgewater Ct Lone Tree, CO 80124 303-799-3996 [email protected]

Anne Gross Community Engagement Specialist TLC Meals on Wheels Arapahoe County 6200 S. Galena Ct. Englewood, CO 80111 303-359-5869 [email protected]

Barbara Boyer Executive Director A3 910 16th Street Suite 1240 Denver, CO 80202 303-831-0117 Ext 105 [email protected]

Cary Johnson Director Jefferson County 1st District Attorney's Office 500 Jefferson County Parkway Golden, CO 80401 303-271-6970 [email protected]

Cathy Noon Mayor City of Centennial Centennial 13133 East Arapahoe Road Centennial, CO 80112 303-754-3350 [email protected]

Dawn Perez Adams County 11010 Tennyson Pl. Westminster, CO 80031 303-438-6533 H 303-525-6533 C [email protected]

Donna Mullins Jefferson County 660 11th St, Unit 402 Golden, CO 80228 303-674-1600 [email protected]

Fabyan Watrous Planning Commissioner Clear Creek County PO. Box 66 Idaho Springs, CO 80452 303-898-0801 Houston "Tex" Elam At Large At Large 5897 S. Louthan Street Littleton, CO 80120 303-741-4491 [email protected]

Jackie Millet Mayor City of Lone Tree Lone Tree 9220 Kimmer Drive, #100 Lone Tree, CO 80124 303-748-2383 [email protected]

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Karie Erickson Executive Director Douglas County 100 Third St. Castle Rock, CO 80104 303-814-5381 Direct 303-814-4300 Main [email protected]

Linda Tate Nursing Manager Kaiser Permanente Retired 303-466-2616 Home 303-250-8566 Cell [email protected] Mary Ellen Makosky Gilpin County 2960 Dory Hill RD Suite 100 Black Hawk, CO 80422 303-582-5444 Ext 2 [email protected]

Maureen Spiegleman City and County of Denver 1002 E Bayaud Ave., # 2005 Denver, CO 80209 303-913-9166 [email protected]

Muriel Arvay Denver DRCOG Board 584 S. Washington St. Denver, CO 80209 303-778-8509 720-935-8509 [email protected]

Phil Cernanec Council Member Littleton 8012 S. Cedar St. Littleton, CO 80120 720-254-6097 [email protected]

Robert (Bob) Lanky County Council Jefferson County 12913 W. Montana Dr. Lakewood, CO 80228 303-989-2973 [email protected]

Robert (Bob) Davis Health & Human Services Advisory Committee Broomfield 914 Birch Street Broomfield, CO 80020 303-466-8002 [email protected]

Shakti Council Member Lakewood 480 South Allison Parkway Lakewood, CO 80226 303-987-7740 [email protected]

Sharon Perea Gilpin County P.O. Box 16 Black Hawk, CO 80422 303-582-5562 [email protected]

Vivian Stovall At Large 4600 W. 9th Avenue, #201 Denver, CO 80204 720-854-4588 [email protected]

DRCOG Address: 1290 Broadway, Suite 100, Denver, CO 80203

Main telephone: 303-455-1000 CCT Options Counceling Intake: 303-480-6838

Ombudsman: 303-480-6734 I&A Line: 303-480-6700

Case Management: 303-480-6704 AAA Fax: 303-480-6827

Name TitleEmail

@drcog.orgOffice ext

303-480- Work IphoneAdministrativeAJ Diamontopoulos Business Development Coordinator adiamontopoulos 6767 N/AJayla Sanchez- Warren AAA Director jswarren 6735 720-375-1738Mindy Patton Business Support Assistant mpatton 6723 N/ASharon Day Financial Compliance Coordinator Administration 6705 N/AOmbudsmanAnne Rigley NH Ombudsman arigley 6736 720-660-0683Bree Stark AL Ombudsman bstark 5631 720-483-2710Caity Thompson AL Ombudsman cthompson 6724 720-636-4776Caitlin Phillips Generalist Ombudsman cphillips 6831 720-245-1520Cindy Webb NH Ombudsman cwebb 5630 720-660-0530Corey Orrel NH Ombudsman correl 5627 720-660-0626Heather Porreca AL Ombudsman Supervisor hporreca 5629 N/AJennifer Reeves Nursing Home Supervisor jreeves 6788 720-660-0520Nancy Ferrier AL/NH Ombudsman nferrier 5638 720-417-0144Nicholas Lervick AL Ombudsman nlervick 5624 N/ASara Friesen Generalist Ombudsman Supervisor sfriesen 6732 720-417-0148Sarah Dodson AL/NH Ombudsman sdodson 6727 720-417-0149 Shannon Gimbel Ombudsman Program Manager sgimbel 5621 N/ATransitions/Case MgmtAmy Pulley Program Manager apulley 6799 N/ACCTAnaya Robinson ADRC Counselor arobinson 6738 720-557-2331Heather Kamper Transitions Supervisor hkamper 6755 720-417-0145Jami Cowan ADRC Counselor jcowan 6762 720-417-0146Case ManagementAlejandra Lerma Case Manager alerma 6824 720-930-9344Cora Rubal Veterans Case Manager crubal 6752 720-245-1390Ines Rosas Case Management Aide irosas 6763 720-520-0107 Jennifer Solms Case Manager jsolms 6796 720-618-3897Leslie Ojeda Case Manager lojeda 6823 720-584-4504Linda Powell Case Manager lpowell 6825 720-417-0142Missy Griggs Case Mgmt Supervisor mgriggs 6759 720-417-0141ADRCAlma Avelar Community Resource Specialist aavelar 5634 720-520-0283 Jean Anhalt Opts Counselor/Resource Specialist janhalt 6719 303-476-8016 Jill Eelkema ADRC Manager jeelkema 6729 N/AKelly Roberts Community Resource Specialist kroberts 6787 720-417-0150Kirsti Klaverkamp Community Resource Specialist kklaverkamp 6733 720-584-4505Rachel Kobelt ADRC Options Counselor rkobelt 6785 720-417-0147Sara Beth Ford Refugee Program Coordinator sford 6786 N/A

DRCOG Area Agency on Aging Staff List

Caitlin Phillips

Ombudsman I

ORGANIZATIONALCHARTArea Agency on Aging


Director

Missy Griggs

Case Manager

Supervisor

Heather Kamper

Transitions

Supervisor

Rachel KobeltOptions

Counselor I

Alma AvelarCommunity

ResourceSpecialist

Mindy Patton

Administrative

Assistant

Jill EelkemaAging and Disability

Resource Center Manager

Sara Beth FordOptions

Counselor I

Jami CowanAging and Disability

Resource CenterCounselor

Anaya RobinsonAging and Disability

Resource CenterCounselor

Alejandra Lerma

Case Manager I

Linda Powell

Case Manager I

Leslie Ojeda

Case Manager I

Jennifer Solms

Case Manager ICindy Webb

Ombudsman I

Nancy Ferrier

Ombudsman I

Anne Rigley

Ombudsman I

Sarah Dodson

Ombudsman I

Corey Orrel

Ombudsman I

Kelly RobertsCommunity

ResourceSpecialist

Kirsti KlaverkampCommunity

ResourceSpecialist

AJ DiamontopoulosBusiness

DevelopmentCoordinator

Jennifer Reeves

Ombudsman II

(Nursing Home)

Heather Porreca

Ombudsman II

(Assisted Living)

Sara Friesen

Ombudsman II

(Generalist)

Shannon Gimbel

Ombudsman Program Manager

Amy Pulley

Case Management/

Transitions Manager

Nick Lervick

Ombudsman I

Bree Stark

Ombudsman I

Caity Thompson

Ombudsman I

We make life better!

|This organizational chart reflects currently filled positions only.

October 2016 Blue designates no direct reports.

* Actively recruiting.

Cora RubalCase Manager I

Inés RosasCase

ManagementAide

16OCT21-JR

Jean AnhaltOptions

Counselor I/Community

Resource Specialist

Description Funding Sources Funded Providers

Area Agency

on Aging

List of ProgramsThe Denver Regional Council of Governments is the federally designated Area Agency on Aging for older adults and people

with disabilities in Adams, Arapahoe, Clear Creek, Douglas, Gilpin and Jefferson counties, as well as the City and County of

Broomfield and the City and County of Denver. Forty-seven percent of Colorado's older population lives in the region.

Meals on Wheels

Rides to doctors

Information and assistance

Adult day services

Counseling

Hearing aids and eyeglasses

Includes home-delived hot and frozen meals (Meals on Wheels) and community dining centers that provide nutritious meals, nutrition education and health and wellness support at 30 sites in the region. All clients receive nutrition assessments and counseling.

Provides door-through-door transportation assitance for medical and dental appointments, and to dining centers, grocery stores, adult day services, respite services and banks.

Advocates on behalf of residents, investigates complaints and promotes prevention of elder abuse in skilled nursing facilities, nursing homes and assisted-living facilities.

Allows veterans to receive home and community-based services enabling them to avoid institutionalization and live in their homes and communities. Provides case management and access to in-home care, homemaker services, assistive devices, meals, transpotation and other services.

Provides a call center and Network of Care website with information about services, care facilities, benefits and providers of various types of assistance.

Provides supervised supportive care for older adults who cannot be alone all or part of the day. Adult day services support working families and caregivers who need respite.

Intervention and support for older adults experiencing anxiety, depression, stress, substance abuse, isolation, poor health and post-tramatic stress. Suicide prevention.

Offers partial grants for hearing and vision services that are not paid for by other sources. Can include examinations, hearing aids and glasses.

ŸOlder Americans Act

ŸState of Colorado


ŸState of Colorado


ŸState of Colorado

ŸU.S. Department of Veterans Affairs


ŸState of Colorado


ŸState of Colorado


ŸState of Colorado


ŸState of Colorado

ŸVolunteers of America

ŸAdams County Community Development ŸArapahoe County Community ResourcesŸCity and County of Broomfield ŸDouglas County Community and Human

ServicesŸSeniors' Resource Center

ŸDenver Regional Council of Governments Area Agency on Aging



ŸDouglas County Community and Human Services

ŸSeniors' Resource Center ŸThe Senior Hub

ŸAsian Pacific Development CenterŸJefferson Center for Mental Health ŸMount Evans Home Health Care and

Hospice

ŸColorado Gerontological Society

Ombudsman program

Veterans home and community-based

services

Receives federal funds Receives state fundsLegend 16DEC20-JR-2a

Description Funding Sources Funded Providers

Respite and caregiver support

Screening and evaluation

Options counseling

Visually impaired services

Elder refugee program

Transition services

Boomer Bond (lifelong communities)

Assistance with heavy chores such as deep cleaning; bed bug removal; odd jobs; minor maintenance, plumbing and electrical work; installation of grab bars; safety assessments; and fall and fire prevention.

Provides evidence-based education and training on chronic disease self-management, medication management, nutrition education and counseling, fall prevention, health screenings, health care navigation and health clinics.

Provides help with grocery shopping, light housekeeping, laundry, errands, socialization, bathing, medication monitoring and dressing.

Offers support services for caregivers incuding counseling, education, care consultation, training and support groups.

Offers screening services and information through health fairs, clinics, dining centers and home visits to low-income, homebound, socially isolated and homeless seniors. Services include blood pressure checks, foot care, emotional health and nutrition risk assessments, and chronic disease self management.

Offers support, planning, decision-making and assistance to help older adults develop an individualized plan to learn about available resources, access community-based services and stay independent at home.

Provides home assessments, counseling, orientation, mobility and fall-prevention training, assistive devices and reading services.

Promotes wellness (through exercise and cooking classes) and reduces social isolation (through participant-led workshops, field trips and community center memberships) among older adults from refugee communities.

Helps people transistion home from hospitals and care facilities. Provides assessment, case management, community-based services, care planning and emotional support.

Offers a community assesment tool, staff support, tools and information for local governments preparing for an aging population.


ŸState of Colorado


ŸState of Colorado


ŸState of Colorado


ŸState of Colorado


ŸState of Colorado

ŸState of Colorado

ŸState of Colorado

ŸColorado Refugee Services Program

ŸU.S. Department of Veterans Affairs

ŸState of Colorado

ŸState of ColoradoŸAARPŸRose Community

Foundation

Ÿ


ŸSeniors' Resource CenterŸVolunteers of America

ŸAsian Pacific Development CenterŸCentura Health LINKSŸCentura HealthSETŸMount Evans Home Health Care and

HospiceŸTri-County Health Department ŸVolunteers of America


ŸSeniors' Resource Center ŸJewish Family ServiceŸColorado Visiting Nurse Association

ŸAlzheimer's AssociationŸCatholic Charities and Community

Services of the Archdiocese of DenverŸCity and County of BroomfieldŸSenior Support Services ŸSouthwest Improvement Council (serving

Native Americans)ŸLutheran Family ServicesŸThe Senior Hub

ŸMount Evans Home Health Care and Hospice

ŸSenior Support ServicesŸSouthwest Improvement Council (serving

Native Americans)


ŸA3 American Council for the Blind of Colorado

ŸAudio Information Network of ColoradoŸCenter for People with DisabilitiesŸColorado Center for the BlindŸSeniors' Resource Center




Arapahoe County Community Resources

Disease prevention/ education Wellness

programs

In-home services

Minor home repair or chore services

Documents

MEETING SUMMARY January 20, 2017 Amanda … Meeting 1... · Amanda Gregg City and County of Denver Anne Gross Arapahoe County ... Vivian Stovall At Large Guests ... (Intern), Lauren